Individual
DR. SHARLA NICOLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSW
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-3000
Mailing address
207 STONE CREEK RIDGE DR, MC GREGOR, TX 76657-4158
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61825
TX
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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